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At least 991 records · Page 55Linked to original sources
PubMed1990

50 years ago from the Journal of the Connecticut State Medical Society. 1940. Further studies in the therapy of acute anterior poliomyelitis.

1. Twenty seven consecutive cases of preparalytic infantile paralysis (36.4% of the total admissions) treated with non-specific protein (intramuscular sterile milk), intravenous 50% sucrose and dehydration (restricted intake) are herein reported. There was no paralysis nor mortality in this group. One case developed weakness, which subsequently disappeared entirely before hospital discharge. During a simultaneous period, 47 cases (63.6%) were admitted with either weakness or paralysis. 2. The early administration of this therapy is advocated. 3. The therapy was used in cases presenting muscular weakness and paralysis upon hospital admission with apparent arrest of the process sooner than is usually expected. A rapid recovery was striking in many instances. This was particularly true in the group admitted with weakness only. 73% of these recovered completely and the remaining 27% were improved. In the paralytic group ganglion cell destruction had often completed before hospital admission. In these cases the results would be disappointing with any therapy. 4. Of the 47 cases admitted in the stage of weakness or paralysis, including the bulbar cases, twelve (25.5%) recovered completely, 17 (36.1%) definitely improved, 16 (34%) were unimproved and 2 (4.2%) died. In the entire group (74 cases) there was a mortality of 2.7%, complete recovery in 52.7%, improvement 22.9% and no improvement in 21.6%. 5. Aside from poliomyelitis, we have used the therapy in primary and secondary encephalitis with gratifying results in most cases, which, however, were few in number. 6. Further study on a larger scale would be advantageous in evaluating this therapy, both in poliomyelitis and encephalitis.

Animals↗
PubMed1990

Babesiosis in a Connecticut resident.

Fewer than 200 confirmed cases of babesiosis have been reported in the last decade. Most cases in the United States have occurred on Cape Cod, Nantucket Island, and Long Island. Babesia microti, a malaria-like protozoan that parasitizes erythrocytes, is responsible for this illness in the United States. Infection is often subclinical but may be fulminant, especially in infants, the elderly, and in asplenic patients. Symptoms are nonspecific, usually consisting of fever and myalgias. Common laboratory abnormalities include evidence of hemolysis and thrombocytopenia. We report a case of babesiosis in an elderly male manifested by high fevers, confusion, hemolytic anemia, and thrombocytopenia.

Aged↗
PubMed1990

Childhood injuries in Hartford, Connecticut.

Vital statistics and hospital discharge data were analyzed to provide a detailed epidemiologic profile of injury among Hartford residents 0 to 19 years of age. During 1980-86, 76 death certificates identified injury as the cause of death, resulting in an annual age-specific death rate of 2.3 per 10,000 persons. Injuries caused more deaths among one to 19 year olds (58%) than all other diseases combined. During 1982-86 injury was listed as the principal diagnosis leading to hospitalization for 2,220 Hartford residents 0 to 19 years. The hospitalization rate was 95 per 10,000 persons. Injuries accounted for 16% of all hospital discharges. For ages 0 to 19, homicide was the leading injury-related cause of death accounting for 43% of fatalities. Falls were the leading cause of injury-related hospitalizations accounting for 22% if all discharges. Clay-Arsenal (23%) and the Northeast (17%) neighborhoods accounted for the largest proportion of injury deaths. Actual inpatient hospital charges for 1986 were reviewed. The total cost for 420 injury discharges utilizing 2,208 hospital days exceeded $1.4 million dollars. Fifty-one percent of the injury discharges listed Medicaid as the primary expected payment source for acute care injury-related discharges. The statistical patterns identified in this report will help public health professionals establish goals for injury control efforts such as a reduction in morbidity, mortality, severity, and/or medical costs.

Adolescent↗
PubMedDate not supplied

Prevalence of reading disability in boys and girls. Results of the Connecticut Longitudinal Study.

We hypothesized that results of previous investigations indicating an increased prevalence of reading disability in boys compared with girls reflected a bias in subject selection. In an epidemiologic sample of 215 girls and 199 boys, we identified two groups of reading-disabled children: research identified and school identified. Results indicated no significant differences in the prevalence of reading disability in research-identified boys compared with research-identified girls in either second (17[8.7%] of 196 boys; 15[6.9%] of 216 girls) or third grade (18[9.0%] of 199 boys; 13[6.0%] of 215 girls). In contrast, school identification resulted in the classification of 27 (13.6%) of 198 boys and seven (3.2%) of 216 girls in second grade and 20 (10.0%) of 199 boys and nine (4.2%) of 215 girls in third grade. Our data indicate that school-identified samples are almost unavoidably subject to a referral bias and that reports of an increased prevalence of reading disability in boys may reflect this bias in ascertainment. These findings caution against relying solely on schools for identification of reading-disabled children.

Analysis of Variance↗